OHCC study materials
OHCC study resources

OHCC cheat sheet

OHCC · Keep the key ideas within reach.

Quick reference

Occupational Health and Safety Program Management

  • Deming cycle (Plan-Do-Check-Act) is the standard continuous improvement model for OHS management systems; each phase has defined inputs and outputs.

  • Hierarchy of controls, in order of effectiveness: elimination, substitution, engineering controls, administrative controls, personal protective equipment.

  • A written OHS policy must state the organization's commitment, define roles and responsibilities, and be signed by the most senior executive.

  • Leading indicators (e.g., training completion, hazard reports closed, inspection frequency) predict future performance; lagging indicators (injury rates, lost-time claims) measure past outcomes.

  • Incidence rate formula: (number of recordable cases × 200,000) ÷ total hours worked; 200,000 = 100 workers × 40 hours × 50 weeks.

  • Lost-time injury rate uses the same formula with lost-time cases in the numerator; severity rate uses days lost × 200,000 ÷ hours worked.

  • Program audits should be conducted by personnel independent of the area being audited to preserve objectivity.

  • Management review is a required element of OHS management systems (e.g., ISO 45001) and must occur at planned intervals.

Quick reference

Regulatory Compliance and Legislation

  • The 'internal responsibility system' is the foundational principle of most Canadian OHS legislation: employers and workers share responsibility for workplace health and safety.

  • Employers have a general duty to take every reasonable precaution to protect worker health and safety; specific duties are listed in the Act and regulations.

  • Workers have three core rights: the right to know about hazards, the right to participate in health and safety, and the right to refuse unsafe work.

  • Joint health and safety committees (JHSC) are required in most jurisdictions above a specified worker threshold (often 20 or more workers); composition and meeting frequency are set by statute.

  • Work refusals must be investigated promptly; the worker remains available for reassignment but cannot be disciplined for exercising the right.

  • Statutory timelines apply to reporting serious injuries, fatalities, and critical incidents to the regulator (often immediately or within 24 hours).

  • Due diligence is a legal defence requiring the employer to prove it took all reasonable steps to prevent the incident; documentation is the primary evidence.

  • Regulations are enforceable law; standards (e.g., CSA, ANSI) are voluntary unless incorporated by reference into regulation.

Quick reference

Hazard Identification, Risk Assessment, and Control

  • Risk = probability (likelihood) × severity (consequence); a risk matrix plots these two dimensions to assign a risk rating.

  • Hazard identification methods include job hazard analysis (JHA), safety inspections, incident reviews, worker reports, and task-based observation.

  • A risk assessment must consider who is exposed (workers, contractors, visitors, public) and the duration and frequency of exposure.

  • Residual risk is the risk remaining after controls are applied; it must be evaluated against the organization's risk tolerance criteria.

  • ALARP principle: risk should be reduced to As Low As Reasonably Practicable, balancing cost against the benefit of risk reduction.

  • Controls should be selected using the hierarchy of controls; PPE is the last line of defence and requires training, fit, and maintenance.

  • A bow-tie analysis links multiple threats and consequences to a single top event through preventive and mitigating barriers.

  • Hazard reporting systems must be accessible, non-punitive, and include a documented process for timely corrective action and closure.

Quick reference

Occupational Hygiene and Exposure Assessment

  • Exposure assessment follows a basic characterization, exposure profile, and risk characterization sequence; qualitative assessment may precede quantitative sampling.

  • Occupational exposure limits (OELs) are typically expressed as time-weighted averages (TWA) over an 8-hour shift; short-term exposure limits (STEL) apply to 15-minute periods.

  • The formula for an 8-hour TWA is: (C1T1 + C2T2 + ... + CnTn) ÷ 8, where C is concentration and T is time in hours.

  • Sampling strategy must account for the most exposed worker, worst-case tasks, and variability; personal breathing-zone sampling is preferred for inhalation exposure.

  • The hierarchy of exposure controls mirrors the general hierarchy: elimination, substitution, engineering (ventilation, enclosure), administrative, and PPE.

  • Biological monitoring measures the substance or its metabolite in body fluids (e.g., urine, blood) and reflects total absorbed dose from all routes.

  • A substance's hazard classification (e.g., carcinogen, sensitizer) may require controls beyond those needed to meet the OEL.

  • Exposure assessment records must be retained for the period specified by regulation and should include sampling methods, results, and interpretation.

Quick reference

Health Surveillance and Occupational Medicine

  • Health surveillance is required when a worker is exposed to a hazard for which a valid, reliable screening test exists and early detection can prevent harm.

  • Pre-placement medical examinations establish a baseline and confirm fitness for duty; they must be job-related and consistent with human rights legislation.

  • Surveillance programs must include a referral pathway for abnormal results, confidentiality protections, and a process for communicating fitness-for-work decisions.

  • Occupational diseases often have long latency periods; surveillance must be maintained for the duration of exposure and the statutory retention period.

  • Medical records must be kept separate from personnel files and released only with consent or as required by law.

  • Audiometric testing, spirometry, and biological monitoring are common surveillance tools; each has defined testing intervals and interpretation criteria.

  • Fitness-for-work assessments must be individualized and based on the essential duties of the job, not on a diagnosis alone.

  • Return-to-work programs should be developed collaboratively among the worker, healthcare provider, employer, and union (where applicable).

Quick reference

Emergency Preparedness and Incident Investigation

  • An emergency response plan must address identification of emergencies, alarm systems, evacuation routes, assembly points, and roles of responders.

  • Drills and exercises should be conducted at planned intervals and after significant changes; results must be documented and used to improve the plan.

  • Incident investigation should begin promptly to preserve evidence; the scene should be secured and witnesses interviewed separately.

  • Root cause analysis techniques include the 5 Whys, fishbone (Ishikawa) diagram, and fault tree analysis; the goal is to identify systemic causes, not blame individuals.

  • The investigation report should state the sequence of events, immediate and root causes, and corrective actions with responsible persons and due dates.

  • Corrective actions must be tracked to completion and verified for effectiveness; recurrence indicates the root cause was not adequately addressed.

  • Emergency supplies and equipment (first aid kits, fire extinguishers, AEDs) must be inspected and maintained per manufacturer and regulatory requirements.

  • Post-incident communication should include workers, regulators (as required), and insurers, while respecting privacy and legal privilege.

Quick reference

Training, Communication, and Competency

  • Training needs analysis identifies the gap between required and current knowledge, skills, and abilities for each role.

  • Competency-based training defines observable performance criteria and assesses the learner against them, not just attendance.

  • Adult learning principles (andragogy) emphasize relevance, problem-centered content, and respect for prior experience.

  • Training records must document the trainee, date, content, trainer, and evaluation method; retention periods are set by regulation or policy.

  • Communication of hazards must be understandable to all workers, including those with language, literacy, or sensory limitations.

  • Safety orientations are required for new workers, young workers, contractors, and workers returning from extended absence.

  • Refresher training intervals should be based on risk, regulatory requirements, and demonstrated competency decay.

  • Effectiveness evaluation can use Kirkpatrick's four levels: reaction, learning, behavior, and results.

Quick reference

Ethics, Professionalism, and Program Evaluation

  • Professional codes of ethics require competence, integrity, confidentiality, and avoidance of conflicts of interest.

  • OHS professionals must report unsafe conditions to the appropriate authority when internal channels fail and harm is imminent.

  • Informed consent is required for health surveillance and research; workers must understand the purpose, risks, and benefits.

  • Privacy legislation governs the collection, use, and disclosure of personal health information; minimum necessary information should be shared.

  • Program evaluation should use both process measures (implementation fidelity) and outcome measures (injury rates, exposure reduction).

  • The balanced scorecard approach can integrate leading and lagging indicators across financial, customer, internal process, and learning perspectives.

  • Benchmarking compares program performance against industry peers or recognized standards to identify improvement opportunities.

  • Evaluation findings must be communicated to stakeholders and used to update the program; the cycle is continuous, not one-time.